Inspection on 13/10/06 for Springpark

This inspection was carried out on 13th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Springpark 28/11/05

Springpark 22/07/05

Springpark 22/10/04

Springpark 28/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Springpark Springpark Camden Road Lingfield Surrey RH7 6AF Lead Inspector Lisa Johnson Unannounced Inspection 13th October 2006 09:10 Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springpark Address Springpark Camden Road Lingfield Surrey RH7 6AF 01342 832583 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ashcroft Care Services Ltd Mrs. Gillian Hickman Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2005 Brief Description of the Service: Spring park is a small residential setting for up to three female service users with moderate to severe learning disabilities. The service is owned and managed by Ashcroft Care Services who have a number of similar homes in the southeast. Located in a quiet residential area, the home is within close proximity of shops and other community amenities near the small town of Lingfield. The home is two storeys chalet style; the communal facilities of dining area, lounge, kitchen, and utility area, together with two service users bedrooms are all on the ground floor. A third single bedroom with en-suite shower and an office are situated on the first floor. There is an attractive and well-maintained garden to the rear of the home for service users to enjoy. Parking is available at the front of the house and outside on the road. The weekly fees range from £127.08- £ 139. 84 Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The site visit was unannounced and took place over eight hours commencing at nine o’clock and finishing at five o’clock. It was carried out by Mrs. L Johnson Regulation Inspector and Mrs. G Hickman registered manager represented the establishment. Two of the service users have non-verbal communication therefore their direct views about their care could not be obtained. Observations of interactions and service user responses have been recorded in this report. However the inspector was able to speak to one service user who has some limited communication. Two relative comment cards have been received since the site visit and these comments have been reflected in this report. A full tour of the premises took place. Staff training records, staff files and policies and procedures were sampled. The inspector spoke to two members of staff. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection. What the service does well: At the time of this visit the home was observed to provide a good standard of accommodation and a homely environment. Staff have a good knowledge of the needs of service users and are aware and responsive to their non- verbal means communication. Service users care plans are detailed and cover all aspects of care and are regularly reviewed. Service users are supported to access a range of recreational and social activities within the home and in the community which meet individual needs and preferences. At the time of this visit two service users attended activities at the YMCA and one individual made a preference to go out for a walk, which was responded to. Service users were supported to be involved in making decisions and choices in their daily lives, which are clearly documented, in individual plans. Service users are supported to access holidays, which meets their preferences. One individual told the inspector she had been to the beach.” Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 6 Positive comments were received from relatives who were satisfied with the care provided and are consulted about their relatives care. One relative commented “The home is beautiful always clean, bright and well run”. Another comment stated, “the staff are kind and patient”. What has improved since the last inspection? What they could do better: As part of this site visit the recruitment records were sampled for three members of staff. One member of staff only had one written reference on their personal file. A requirement was made that two written references must be obtained for all new staff prior to commencing employment in the home to ensure that the wellbeing and safety of service users is protected by the homes recruitment policies and practices. Due to the ageing process of some service users living in the home a requirement was made that staff should attend training for the care of the elderly. During a tour of the premises it was observed that the radiators not provided with protectors. A requirement was made that a risk assessment is conducted Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 7 through out the home to assess whether these are required. the health, welfare and safety of service users. This is to ensure Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The needs of service users are assessed prior to admission to the home. EVIDENCE: Since the previous visit there have been no admissions to the home. Evidence sampled concluded that pre admission assessments are completed prior to any individual moving into the home. The companys head office receives initial referrals. The registered manager has the opportunity to carry their own assessment Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with an individual care plan, which records their individual needs and goals. Service users are supported to make decisions about their lives with assistance. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Each service user has a completed care plan, which has been based on assessment including personal care, health, communication, safety, and social skills. Three individual plans were sampled and it was clear that six monthly and monthly reviews are completed. It was also evident that if there was any individual changes of need care plans were reviewed and changes were reflected in the care plan. Each file contained a friendship circle and a profile. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 11 Due to the needs of the service users in the home they are unable to sign their plan and where possible relatives are provided with the opportunity to attend reviews and one plan sampled had been signed by a relative on behalf of the individual. The company are planning to introduce person centred planning and it is recommended that that this would be beneficial to introduce care plans that are service user friendly and more accessible. The inspector was informed that advocacy services have been contacted to make referrals but there is currently a waiting list. Due to the complex needs of the service users information was recorded in plans how to support service users make decisions and choices. Staff have a good knowledge of the individual needs of service users and are responsive to their means of communication and emotional expression which was clearly evident during this visit with information clearly documented in their individual plan. Each plan contained a statement of choice which included for example how service users can be supported to make decisions and choices about their everyday life including their meals, clothing and personal hygiene. During this visit one individual was asked what she would like for lunch was provided the opportunity to make her lunch with support being provided where required and was clearly enjoying this experience. Two comment cards received from relatives concluded that that staff keep them informed of important matters affecting their relatives care and that they are consulted. Detailed risk assessments were in place, which were detailed and comprehensive. Plans sampled included personal hygiene, road safety awareness, domestic skills, and behaviour and health issues. Plans are kept under regular review and bought to the attention of staff and had been signed by them. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users are provided with a range of appropriate activities and engage in a range of leisure activities. Service uses are supported to take part in the local community. The rights and responsibilities of service users is respected. The home is able to demonstrate that service users are provided with a wellbalanced and nutritious diet. EVIDENCE: During this visit two service users attended mellow moves at the YMCA. When service users returned to the home at lunch time the inspector was informed that one individual chose to go for a walk instead meeting her individual preference. In the afternoon two individuals went out shopping with staff. The home provides a range of recreational and social activities, which are either undertaken in small groups or on a one-to one-basis. There are opportunities to participate in music, arts and crafts, yoga, foot spas and a range of Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 13 equipment was observed on display in the lounge The home has its own vehicle and is able to access community facilities including trips to the cinema, visits to the local pub or restaurant and opportunities to take part in domestic skills including meal preparation and domestic skills. At the time of this visit one person was observe laying the table for lunch. Daily notes sampled reflected that activities that had taken place were recorded. “Keeping Track” records were maintained for recording participation in daily activities and skill building such as personal meal preparation and domestic skills. Service users have been away on holidays with one individual having gone to the coast, as this was her preference. The inspector asked this individual where she went on holiday and she said “The beach” and showed the inspector some of the photographs of places where she had visited which were on display in her bedroom. A comment received from a relative concluded that her relative “Goes on lots outings and is involved with lots of interesting activities”. Service users are supported to maintain links with their families. Relatives are able to visit the home and service users are supported to visit their relatives at home. One person is being provided with extra support at present due to a personal issue which is being dealt with sensitively by staff. Two relative comment cards were received and concluded that relatives are made to feel welcome when they visit the home and are able to visit their relative in private. Positive relationships were observed between service users and staff Service users were observed to be relaxed in the company of staff who were observed sitting together eating lunch Staff were aware of the communication difficulties of service users and were responsive and engaged with service users throughout. Service users had unrestricted access in the home and supported to undertake household tasks. After lunch one individual decided to go to her room to listen to music her preference to do this was respected. The manager provided samples of the homes menus, which were varied, well balanced and nutritious. Where own choice is catered for this is recorded on the menue. The main meal is served in the evening and at lunch time service users were asked about their preferred choices of sandwiches for lunch. Fruit was also provided. The lunchtime meal was unhurried and relaxed. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that service users receive personal support in the way they prefer. Service users physical and health needs are met. Service users are protected by the homes medication administration procedures. EVIDENCE: There is a key worker system in place and all individual plans contained information about individuals preference for receiving care was documented in a statement of choice. One person prefers a shower to having a bath. During this visit one individual was supported having a wash, which was conducted in privacy with the bathroom door being kept shut. The preferred ways of receiving medication was displayed on the medication cupboard. Service users are` supported to make choices about clothing and their appearance. The health needs of service users were documented in their individual plans. Two service users plans were sampled which concluded that service users are Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 15 supported to access a range of health care professionals including a local general practitioner, dental examinations, access to optical services, psychiatric and behaviour specialist support. One person is at risk of chocking and clear risk assessments are in place with evidence that the home had acquired specialist support on this matter. Records were maintained of reviews undertaken by the local authority Social Care Team Detailed records were maintained of all health consultations. The medication policies and practices in the home were examined Photographs of individual’s was available with their medication administration records. A list of staff that are trained to administer medication was completed. Protocols were in place for “As required medication” All medication administered was signed for. Medication was stored appropriately and disposal records maintained which were sampled. A medication procedure was in place and the home had acquired a copy of the Royal Society Pharmaceutical guidelines. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the views of service users are listened to and acted upon. The staff team need to ensure that it responds to the protection of vulnerable adult policies to ensure that residents are protected from abuse. EVIDENCE: The complaints procedure was observed on display in the home and formulated in large print. No complaints have been received since the previous visit. To comment cards received from relatives conclude that they are` aware of the homes complaints procedure and are satisfied with the care provided to their relative. A comment received from one relative stated, “The staff are kind and patient”. There have been no referrals made under the safeguarding adult procedures. The company has safeguarding adult and whistle blowing procedure and the local authority safeguarding adult procedure was in place. Staff training schedules indicate that staff have received safeguarding adult training with the registered manger and deputy having attended the local authority training. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained, comfortable, homely and safe environment. Bedrooms were viewed as comfortable. The home is able to demonstrate that service users bedrooms promote their independence. The home is clean and hygienic ensuring that service users have a pleasant home to live in. EVIDENCE: The home is situated near to local shops in the village of Lingfield and provides a good standard of accommodation. The home is well maintained and provides a homely atmosphere. There is a garden to the rear of the house, which was accessible and well maintained. Garden furniture and a trampoline was available for service users to enjoy on warmer days. Service users bedrooms were pleasant, comfortable and individualised with a range of possessions on display respecting individual’s preferences. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 18 The home was cleaned to a good standard and was hygienic. Separate laundry facilities were in place, which were appropriate for the needs of the home. The kitchen was clean with appropriate food hygiene practices in place. One comment received from a relative confirmed, the service is “A beautiful home, always clean and bright”. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 36 & 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Further improvement is needed to ensure that service users are fully protected by the homes recruitment policy and practices and their needs in the main met by appropriately trained staff. EVIDENCE: At the time of the visit there were two service users present in the home and another individual was away on holiday being accompanied by staff. The manager has supplied copies of the duty rotas with the pre- inspection information which concluded that two staff are on duty throughout the day and one person works night duty. However the inspector was informed that if the needs of service users change at anytime the staffing levels are increased for example three staff would be on duty through out the day and extra person would be supplied at night time. Two members of staff have left the service since the previous inspection. The home utilizes some agency cover and the opportunity to speak to one agency member of staff who works in the home on the regular basis and had a good knowledge of the service users and holds an National Vocational Qualification (level 4) Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 20 Staff training schedules were maintained which concluded that all staff receive up to date mandatory training including fire training, moving and handling, food hygiene, first aid, medication administration and safeguarding adults. During the visit the inspector sampled the personnel files for three members of staff. Records were available to confirm that enhanced police checks have been undertaken and other required information was present. However on one file sampled there was only one written reference form and a verbal reference available for this individual. The inspector was informed that the second reference had not been returned. A requirement was made that this matter is immediately pursued. The manager contacted the company’s personnel department to raise this matter. A requirement was made that two written references must be obtained prior to any individual being employed in the home to ensure they are suitable and that the safety of service users is fully protected. Staff are issued with copy of the General Social Care Code of Conduct (GSCC). Following inspection the commission were informed that action had been taken to ensure that two written references be provided prior to members of staff starting work. It was evident that staff receive relevant training, which supports and meets the needs of service users. Training records and certificates of attendance at courses were sampled which concluded that staff have received training for example in autism, non-violent crisis intervention, report writing and epilepsy. One file was sampled for a new member of staff and it was clear that induction training had been completed. Due to some of the service users becoming older in the home the manager is currently accessing appropriate training and is attending some training in the near future. However it is required that all staff receive appropriate training in the care of the elderly to ensure that the needs of service users is fully met. Staff records indicated that staff receive regular, formal, supervision, which were well maintained and detailed. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that service users benefit from a home, which is well run. Further improvement is needed in updating the quality assurance systems. The health safety and welfare of service uses is mainly protected with one issue needing attention. EVIDENCE: The service has an experienced manager in post who hols the Registered Managers Award. It was clear from discussion that the manager completes regular training and development and is an assessor for staff completing National Vocational Qualifications. There was an open and inclusive atmosphere in the home with regular staff meetings being held. A comment received from a relative confirmed, “The home is well run”. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 22 The responsible individual conducts monthly quality visits. Copies of these reports were maintained in the home with copies made available to the Commission for Social care Inspection. These reports were observed to be detailed and comprehensive considering the views and observation of service users. However the company needs to update its quality assurance systems in respect of feedback questionnaires from service users, relatives and other stakeholders to ensure that the interests of service users is fully supported. There is a quality assurance manager in post and work is in process to improve the existing systems. Health and safety procedures were sampled. An external health and safety audit has been recently completed which was satisfactory. Records were sampled for fire procedures including a report completed by the fire officer, which concluded that equipment provided in the home is satisfactory. Water temperature records were maintained with weekly records in place. Control of harmful substances (COSHH) were stored appropriately. records were appropriately maintained. Evidence provided with the pre- inspection questionnaire confirmed that systems are in place for regular servicing and routine maintenance. However the service needs to conduct a risk assessment in respect of supplying radiator covers throughout the home, as these were not in place. This is to ensure the health, welfare and safety of service users. Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 2 X Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation Requirement Timescale for action 13/11/06 2. YA39 3. YA35 4. YA42 19 The registered person must (1)(2)(3)(4)(5) ensure that two written Schedule 2 references are received prior to any new staff commencing employment in the home. 24(1)(2)(3) The registered person must ensure that quality assurance questionnaires are updated to gain feedback from service users, relatives and other stakeholders. 18(1)(c)(ii) The registered person must ensure that staff receiving training in the ageing process. 13(4)(a)(c) The registered person must conduct a risk assessment in respect of radiator covers through out the home. 13/11/06 13/01/07 13/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 25 Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Springpark DS0000013793.V315635.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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